Provider Demographics
NPI:1225272255
Name:ACUPUNCTURE & AESTHETICS CENTER
Entity Type:Organization
Organization Name:ACUPUNCTURE & AESTHETICS CENTER
Other - Org Name:INTEGRATED CENTER FOR ORIENTAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:AUSTIN
Authorized Official - Last Name:PECK
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:972-473-9070
Mailing Address - Street 1:5924 W. PARKER RD.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:972-473-9070
Mailing Address - Fax:972-473-9072
Practice Address - Street 1:5924 W. PARKER RD.
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:972-473-9070
Practice Address - Fax:972-473-9072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty